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antepartum fetal monitoring

Blanka Vasak, Jessica J Verhagen, Steven V Koenen, Maria P H Koster, P A O M de Reu, Arie Franx, Jan G Nijhuis, Gouke J Bonsel, Gerard H A Visser
BACKGROUND: Twin pregnancies are at increased risk for perinatal morbidity and mortality, due to many factors including a high incidence of preterm delivery. Compared to singleton pregnancies overall perinatal mortality risk is higher in twin pregnancies, however for the preterm period perinatal mortality has been reported to be lower in twins. OBJECTIVE: To compare perinatal mortality in relation to gestational age at birth between singleton and twin pregnancies, taken into account socioeconomic status, fetal sex and parity...
October 8, 2016: American Journal of Obstetrics and Gynecology
Tomasz Fuchs, Krzysztof Grobelak, Michał Pomorski, Mariusz Zimmer
BACKGROUND: Cardiotocography (CTG) is the most widely used procedure despite its low specificity for fetal acidosis and poor perinatal outcome. Fetal electrocardiography (fECG) with transabdominal electrodes is a new, non-invasive and promising method with greater potential for detecting impairment of fetal circulation. This study is the first that attempts to assess the usefulness of fECG in comparison to CTG during antepartum period. OBJECTIVES: To determine if a single fECG examination along with CTG tracing and Doppler flow measurement in the fetal vessels has any additional clinical value in normal and intrauterine growth restricted (IUGR) fetuses...
March 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Ashish Kc, Johan Wrammert, Uwe Ewald, Robert B Clark, Jageshwor Gautam, Gehanath Baral, Kedar P Baral, Mats Målqvist
BACKGROUND: Each year, 1.2 million intrapartum stillbirths occur globally. In Nepal, about 50 % of the total number of stillbirths occur during the intrapartum period. An understanding of the risk factors associated with intrapartum stillbirth will facilitate the development of preventative strategies to reduce the associated burden of death. This study was conducted in a tertiary-care setting with the aim to identify risk factors associated with intrapartum stillbirth. METHODS: A case-control study was completed from July 2012 to September 2013...
2016: Reproductive Health
Leonard Ogbonna Ajah, Perpetus Chudi Ibekwe, Fidelis Agwu Onu, Ogah Emeka Onwe, Thecla Chinonyelum Ezeonu, Innocent Omeje
INTRODUCTION: Fetal distress has been shown to contribute to the increasing caesarean section rate. There has been controversy on the usefulness of clinical diagnosis of fetal distress using only the intermittent counting of the fetal heart rate and/or passage of meconium-stained liquor. AIM: To evaluate the clinical diagnosis of fetal distress and the perinatal outcome. MATERIALS AND METHODS: This was a retrospective study in which the case records of the patients, who were diagnosed of fetal distress at Federal Teaching Hospital, Abakaliki, Nigeria, from January 1, 2008 to December 31, 2014, were collated...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
Emma R Allanson, Robert C Pattinson
PROBLEM: Suboptimal care contributes to perinatal mortality rates. Quality-of-care audits can be used to identify and change suboptimal care, but it is not known if such audits have reduced perinatal mortality in South Africa. APPROACH: We investigated perinatal mortality trends in health facilities that had completed at least five years of quality-of-care audits. In a subset of facilities that began audits from 2006, we analysed modifiable factors that may have contributed to perinatal deaths...
June 1, 2015: Bulletin of the World Health Organization
Lidia Francés Ribera, Carmen Terré Rull
This article provides an update on the control of antepartum fetal well-being, including the biophysical monitoring with non-stressful and stressful test and its evaluation. The fetal heart rate--base line, variability and transitional increases in fetal heart rate--are described based on fetal movements, its clinical meaning and actions derived from it.
December 2014: Revista de Enfermería
Rahul Kaul, H S Chhabra, Vijayanth Kanagaraju, Rajat Mahajan, Vikas Tandon, Ankur Nanda, Gururaj Sangondimath, Nishit Patel
INTRODUCTION: The existing literature is limited and inconclusive regarding management of spinal tuberculosis with neurological deficit during advanced pregnancy. None of the previously published case series concerning this problem during the second trimester of pregnancy have explored the option of simultaneous surgical intervention for it along with maintenance of pregnancy. CASE REPORT: A 22-year-old woman with 26 weeks of pregnancy (2nd trimester) presented with upper back pain for the past 2 months, inability to move both lower limbs for the last 1 week, bladder and bowel dysfunction for the past 5 days (Frankel Grade B)...
April 2016: European Spine Journal
Joan M G Crane, Laura A Magee, Tang Lee, Anne Synnes, Peter von Dadelszen, Leanne Dahlgren, Dane A De Silva, Robert Liston
OBJECTIVE: To evaluate the maternal and perinatal outcomes of pregnancies delivered at 23+0 to 23+6 weeks' gestation. METHODS: This prospective cohort study included women in the Canadian Perinatal Network who were admitted to one of 16 Canadian tertiary perinatal units between August 1, 2005, and March 31, 2011, and who delivered at 23+0 to 23+6 weeks' gestation. Women were included in the network if they were admitted with spontaneous preterm labour with contractions, a short cervix without contractions, prolapsing membranes with membranes at or beyond the external os or a dilated cervix, preterm premature rupture of membranes, intrauterine growth restriction, gestational hypertension, or antepartum hemorrhage...
March 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Clareana Ghiraldini Geraldes, Márcia Carneiro Saco, Pedro Luiz Spinelli Coelho, Gustavo Lacerda da Silva Calestini, Caio Barbosa Cury, Felipe Fernando Silveira Fuentes, Bárbara Bevilacqua Zeiger, José Marcelo Garcia, Sérgio Floriano de Toledo, Rogério Gomes Dos Reis Guidoni, Maurício Saito, Francisco Lázaro Pereira Sousa, Corintio Mariani Neto
OBJECTIVES: Comparison between two electronic methods of antepartum fetal assessment in hypertensive pregnant women. METHODS: Comparison of conventional cardiotocography tracing and transabdominal fetal electrocardiography with the use of the fetal monitor AN24 (Monica Healthcare), in women with gestational age ⩾34weeks, single fetus, with hypertensive disorders according to the criteria of NHBPEP-2000 at Guilherme Álvaro Hospital - Santos/SP - Brazil (Dec/2013-Jun/2014)...
January 2015: Pregnancy Hypertension
Asher Hussain, Alan Karovitch, Michael P Carson
As the age of pregnant women and prevalence of obesity and diabetes are increasing, so is the prevalence of medical disorders during pregnancy, particularly hypertension and the associated CKD. Pregnancy can worsen kidney function in women with severe disease, and hypertension puts them at risk for pre-eclampsia and the associated complications. There are no specific guidelines for hypertension management in this population, and tight control will not prevent pre-eclampsia. Women with end-stage kidney disease should be placed on intense dialysis regimens to improve obstetric outcomes, and angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are best avoided...
March 2015: Advances in Chronic Kidney Disease
Roberto Tapia-Conyer, Shelley Lyford, Rodrigo Saucedo, Michael Casale, Hector Gallardo, Karen Becerra, Jonathan Mack, Ricardo Mujica, Daniel Estrada, Antonio Sanchez, Ramon Sabido, Carlos Meier, Joseph Smith
Background. Fetal and neonatal morbidity and mortality are significant problems in developing countries; remote maternal-fetal monitoring offers promise in addressing this challenge. The Gary and Mary West Health Institute and the Instituto Carlos Slim de la Salud conducted a demonstration project of wirelessly enabled antepartum maternal-fetal monitoring in the state of Yucatán, Mexico, to assess whether there were any fundamental barriers preventing deployment and use. Methods. Following informed consent, high-risk pregnant women at 27-29 weeks of gestation at the Chemax primary clinic participated in remote maternal-fetal monitoring...
2015: International Journal of Telemedicine and Applications
Alysha Nensi, Dane A De Silva, Peter von Dadelszen, Diane Sawchuck, Anne R Synnes, Joan Crane, Laura A Magee
OBJECTIVE: To examine the potential effects of intravenous magnesium sulphate (MgSO4) administration on antepartum and intrapartum fetal heart rate (FHR) parameters measured by cardiotocography (CTG) or electronic fetal monitoring (EFM). METHODS: We undertook a systematic review of randomized controlled trials, observational studies, and case series. Studies were reviewed independently by two reviewers and qualitatively analyzed with regard to CTG/EFM parameters (baseline FHR, variability and acceleration-deceleration patterns), types of participants, interventions offered, and outcomes reported...
December 2014: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
David M Haas, Corette B Parker, Deborah A Wing, Samuel Parry, William A Grobman, Brian M Mercer, Hyagriv N Simhan, Matthew K Hoffman, Robert M Silver, Pathik Wadhwa, Jay D Iams, Matthew A Koch, Steve N Caritis, Ronald J Wapner, M Sean Esplin, Michal A Elovitz, Tatiana Foroud, Alan M Peaceman, George R Saade, Marian Willinger, Uma M Reddy
OBJECTIVE: The primary aim of the "Nulliparous Pregnancy Outcomes Study: monitoring mothers-to-be" is to determine maternal characteristics, which include genetic, physiologic response to pregnancy, and environmental factors that predict adverse pregnancy outcomes. STUDY DESIGN: Nulliparous women in the first trimester of pregnancy were recruited into an observational cohort study. Participants were seen at 3 study visits during pregnancy and again at delivery. We collected data from in-clinic interviews, take-home surveys, clinical measurements, ultrasound studies, and chart abstractions...
April 2015: American Journal of Obstetrics and Gynecology
Amália Turner Giannico, Elaine Mayumi Ueno Gil, Daniela Aparecida Ayres Garcia, Tilde Rodrigues Froes
The aim of this study was to describe changes in umbilical artery blood flow in the later stages of canine pregnancy. Seventeen pregnant bitches were examined sonographically to evaluate umbilical artery blood flow at the following antepartum times: 120-96, 96-72, 72-48, 48-24, 24-12, 12-6 and 6-1h. The peak systolic velocity and end diastolic velocity were measured to calculate the resistive index (RI). Bitches were classified into two groups according to delivery method: normal delivery (Group 1, n=11) and Cesarean section, due to fetal distress, (Group 2, n=6)...
March 2015: Animal Reproduction Science
Elizabeth A Baldwin, Kristi S Borowski, Brian C Brost, Carl H Rose
OBJECTIVE: We sought to describe the influence of antepartum nonobstetrical surgical procedures performed at viable fetal gestational ages (GAs) on incidence of preterm delivery. STUDY DESIGN: This was a retrospective case series of patients requiring nonobstetrical surgery at ≥23 weeks' gestation at the Mayo Clinic during the interval 1992 through 2014. Data were abstracted for maternal demographic variables, operative procedure, anesthetic type, whether intraoperative fetal monitoring was employed, and both GA and method of delivery...
February 2015: American Journal of Obstetrics and Gynecology
(no author information available yet)
Postterm pregnancy refers to a pregnancy that has reached or extended beyond 42 0/7 weeks of gestation from the last menstrual period (LMP), whereas a late-term pregnancy is defined as one that has reached between 41 0/7 weeks and 41 6/7 weeks of gestation (). In 2011, the overall incidence of postterm pregnancy in the United States was 5.5% (). The incidence of postterm pregnancies may vary by population, in part as a result of differences in regional management practices for pregnancies that go beyond the estimated date of delivery...
August 2014: Obstetrics and Gynecology
Shamim Khandaker
OBJECTIVE: To study the antepartum fetal growth between customized "GROW" curves and noncustomized growth curves with neonatal growth pattern. METHOD: Fetal growth scans are performed between 30 and 35 weeks to singleton mother. Estimated fetal weights (EFWs) were determined using ultrasound variables (biparietal diameter, head circumference, abdominal circumference, and femur length). This EFW is plotted on SONOCARE software [noncustomized growth curves developed by Medialogic solutions (P) Ltd...
June 2014: Journal of Obstetrics and Gynaecology of India
(no author information available yet)
No abstract text is available yet for this article.
July 2014: Obstetrics and Gynecology
E M U Gil, D A A Garcia, A T Giannico, T R Froes
Ultrasonography is a safe and efficient technique for monitoring fetal development and viability. One of the most important and widely used parameters to verify fetal viability is the fetal heart rate (HR). In human medicine, the fetal HR normally oscillates during labor in transient accelerations and decelerations associated with uterine contractions. The present study investigated whether these variations also occur in canine fetuses and its relationship to parturition. A cohort study was conducted in 15 pregnant bitches undergoing two-dimensional high-resolution ultrasonographic examination during the 8th and 9th week of gestation...
October 15, 2014: Theriogenology
A Georgieva, A T Papageorghiou, S J Payne, M Moulden, C W G Redman
OBJECTIVE: Recent studies suggest that phase-rectified signal averaging (PRSA), measured in antepartum fetal heart rate (FHR) traces, may sensitively indicate fetal status; however, its value has not been assessed during labour. We determined whether PRSA relates to acidaemia in labour, and compare its performance to short-term variation (STV), a related computerised FHR feature. DESIGN: Historical cohort. SETTING: Large UK teaching hospital...
June 2014: BJOG: An International Journal of Obstetrics and Gynaecology
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